CN110269654A

CN110269654A - Adapter assembly and its surgery systems for interconnecting electro-mechanical surgical device and operation load units

Info

Publication number: CN110269654A
Application number: CN201910434138.5A
Authority: CN
Inventors: 厄尔·M·策吉贝尔; 戴维·M·乔瓦尼克; 瑞安·V·威廉斯; 阿南德·苏布拉马尼安
Original assignee: Covidien LP
Current assignee: Covidien LP
Priority date: 2013-12-09
Filing date: 2014-12-09
Publication date: 2019-09-24
Anticipated expiration: 2034-12-09
Also published as: CN104688348B; CA2872511A1; EP2881046B1; AU2019200971B2; EP2889009A3; CN104688287B; EP2889009A2; ES2761584T3; CN104688348A; EP3210545A1; EP3210545B1; US20150157321A1; EP3238640B1; JP2015112486A; US10849624B2; US20150342603A1; US20150157320A1; AU2014268210A1; US20190059895A1; CN104688287A

Abstract

This disclosure relates to for being used together with electro-mechanical surgical device and operation load units and electromechanical the adapter assembly for interconnecting electro-mechanical surgical device and load units of performing the operation, and it is related to surgery systems, which includes hand-held electro-mechanical surgical device and be connected to the adapter assembly of hand-held electro-mechanical surgical device for the load units that will perform the operation.

Description

For by electro-mechanical surgical device and operation load units interconnection adapter assembly and its Surgery systems

It is on December 9th, 2014 that the application, which is application No. is the 201410751152.5, applying date, entitled " is used for The division Shen of the patent application of the adapter assembly and its surgery systems that electro-mechanical surgical device and operation load units are interconnected " Please.

Cross reference to related applications

This application claims be filed on December 9th, 2013 application No. is 61/913,572 U.S. Provisional Patent Application Equity and priority, entire disclosure are incorporated herein by reference.

Technical field

This disclosure relates to a kind of adapter assembly for surgery systems.More specifically, this disclosure relates to be used for and machine Electro-mechanical surgical device and operation load units are interconnected that electrosurgical equipment is used together with operation load units and electromechanically Adapter assembly, and it is related to following surgery systems: the surgery systems include hand-held electro-mechanical surgical device and are used to incite somebody to action Operation load units are connected to the adapter assembly of hand-held electro-mechanical surgical device.

Background technique

Many surgical apparatus manufacturers have developed with the dedicated drive for operating and/or manipulating electro-mechanical surgical device The production line of dynamic system.In many cases, electro-mechanical surgical device includes reusable Handleset, further includes disposable Load units and/or the load units of single use etc., they are selectively connected to Handleset before the use, then exist It disconnects with Handleset after use with processed or in some instances sterilized to reuse.

In some cases, adapter assembly is used to any of electro-mechanical surgical device and many operation load units Interconnection to establish mechanically and/or electrically therebetween.Compared to the Electromechanical surgical system for not using adapter assembly, by making With adapter assembly by electro-mechanical surgical device and operation load units interconnection, the overall length of the Electromechanical surgical system is intended to phase To bigger/longer.Length after the increase of Electromechanical surgical system (including adapter assembly) is intended to make Electromechanical surgical system The center of gravity of (including adapter assembly) is distad moved relative to the center of gravity of another Electromechanical surgical system (not including adapter assembly) It is dynamic.

In the case where center of gravity is located at the farther side position of Electromechanical surgical system, it is applied to hand, wrist and the arm of user Torque will increase, thus cause some using Electromechanical surgical system tiring or heavy.

The distal side displacement with relatively short length and the center of gravity that reduces Electromechanical surgical system that therefore, it is necessary to a kind of Adapter assembly.

Summary of the invention

This disclosure relates to for be used together with electro-mechanical surgical device and operation load units and electromechanics by electro-mechanical surgical The adapter assembly of equipment and operation load units interconnection, and it is related to surgery systems, which includes hand-held electromechanics Surgical apparatus and the adapter assembly that hand-held electro-mechanical surgical device is connected to for the load units that will perform the operation.

According to the scheme of the disclosure, a kind of adapter assembly is provided, for load units and the hand of selectively performing the operation Art apparatus interconnection, the operation load units are configured to execute function, and the surgical apparatus is configured to activate the load units. Load units may include the drive member that at least one can axially be translated, and surgical apparatus may include that at least one can be rotated Drive shaft.Adapter assembly includes: shell, is configured to and is suitable for connecting with surgical apparatus and each of with surgical apparatus The connection of drive shaft operability can be rotated；Outer tube, with proximal end and distal end, proximal end is supported by shell, Distal end is configured to and is suitable for connecting with load units, each of the distal end of middle external tube and load units axial direction energy The drive member operability of translation is connected to；And power/rotation transmitting/transition components, for corresponding one of surgical apparatus to be driven Corresponding one axial energy driven in translation component interconnection of moving axis and load units.

Power/rotation transmitting/transition components include: nearside Rotation of receiver component, can be connected to the corresponding of surgical apparatus Can rotate drive shaft；And distal side force transmitting member, it can be connected to the axial energy driven in translation component of load units, far Side force transmission member is so that the rotation of nearside Rotation of receiver component is converted into the side of the axial translation of distal side force transmitting member Formula and be connected to nearside Rotation of receiver component.

In operation, the rotation that the first of surgical apparatus can rotate drive shaft is transferred to by power/rotation transmitting/transition components The first axis energy driven in translation component of load units, and the rotation that the first of surgical apparatus can rotate drive shaft is converted into dress The axial translation of the first axis energy driven in translation component of carrier unit.

Power/rotation transmitting/transition components may include the first power/rotation transmitting/transition components.First power/rotation transmitting/ The nearside Rotation of receiver component of transition components may include defining the first proximate drive shaft of screw thread distal end.First power/ Rotating transmitting/transition components distal side force transmitting member may include the screw thread distal side that can be threaded io the first proximate drive shaft The distal drive member of end.

First proximate drive shaft and distal drive member can corresponding energy aligned axially to each other and with surgical apparatus The rotation axis for rotating drive shaft is axially aligned.

In use, surgical apparatus with the first power/associated rotation that can rotate drive shaft of rotation transmitting/transition components Turn, can cause the first power/rotation transmitting/transition components first that can rotate the rotation of drive shaft, this can cause the first power/ Rotate the axial translation of transmitting/transition components distal drive member.

Power/rotation transmitting/transition components may include the second power/rotation transmitting/transition components.Second power/rotation transmitting/ The nearside Rotation of receiver component of transition components may include defining the second proximate drive shaft of screw thread distal end.Second power/ Rotating transmitting/transition components distal side force transmitting member may include bearing assembly, and the bearing assembly has outer ring, described outer Circle can be threadably attached to the screw thread distal end of the second proximate drive shaft and non-rotatably be arranged in shell.

Bearing assembly may include inner ring.Second power/rotation transmitting/transition components distal side force transmitting member may include Articulating bar, the Articulating bar have proximal end and distal end, and proximal end is secured to bearing group The inner ring of part, distal end are configured to be selectively engaged the second axial energy driven in translation component of load units.

First power/rotation transmitting/transition components at least part can extend through the second power/rotation transmitting/conversion The bearing assembly of component.

Articulating bar can be revolvable around the first power/rotation transmitting/transition components.

In use, surgical apparatus with the second power/associated rotation that can rotate drive shaft of rotation transmitting/transition components Turn, can cause the second power/rotation transmitting/transition components second that can rotate the rotation of drive shaft, this leads to the second power/rotation The axial translation of transmitting/transition components Articulating bar.

Power/rotation transmitting/transition components may include third power/rotation transmitting/transition components.Third power/rotation transmitting/ The nearside Rotation of receiver component of transition components may include third proximate drive shaft, and third proximate drive shaft, which has, is supported on it far Spur gear on side end.Third power/rotation transmitting/transition components distal side force transmitting member may include ring gear, ring Shape gear is fixedly fastened in shell and carries out gear connection with spur gear.

In use, surgical apparatus with third power/associated rotation that can rotate drive shaft of rotation transmitting/transition components Turn, can cause third power/rotation transmitting/transition components third that can rotate the rotation of drive shaft, this leads to third power/rotation The rotation of transmitting/transition components ring gear.

Adapter assembly may further include the electric component being supported at least one of shell and outer tube.Electrically Component may include: circuit board；Contact pilotage is electrically connected to circuit board, be configured to and being suitably selected for property be electrically connected to operation The complementary plug of equipment；Strain gauge (strain gauge) supports on circuit boards and is electrically connected to circuit board, In, first, which can rotate proximate drive shaft, extends through strain gauge；And slip ring, surround the first power/rotation transmitting/transition components Distal drive member arrangement.Slip ring can with electrical connection circuit plate, and wherein, slip ring include support wherein for maintain with The electrical contact of electric component electrical contact in adapter assembly.

First proximate drive shaft, the second proximate drive shaft and third proximate drive shaft can be arranged in common plane each other In.

According to another program of the disclosure, Electromechanical surgical system is provided, is configured to be selectively connected operation Load units execute function to activate load units.Load units may include the driving structure that at least one can axially be translated Part.Surgery systems include hand-held electro-mechanical surgical device comprising: shell；And at least one can rotate drive shaft, with from The shell mode outstanding is supported.

Surgery systems further comprise that can selectively be connected to connecing between load units and the shell of surgical apparatus Clutch component.Adapter assembly includes: shell, is configured to and is adapted to surgical apparatus and each of with surgical apparatus The connection of drive shaft operability can be rotated；Outer tube, with proximal end and distal end, proximal end is supported by shell, Distal end is configured to and is suitable for connecting with load units, wherein the distal end of outer tube and each axial direction of load units It can the connection of driven in translation component operability；And power/rotation transmitting/transition components, it is used for the corresponding drive of surgical apparatus The corresponding axial energy driven in translation component interconnection of moving axis and load units.

The rotation that the first of surgical apparatus can rotate drive shaft is transferred to load units by power/rotation transmitting/transition components First axis energy driven in translation component, and load units that are converted to that drive shaft can be rotated by the first of surgical apparatus The axial translation of first axis energy driven in translation component.

The power of adapter assembly/rotation transmitting/transition components may include the first power/rotation transmitting/transition components.First Power/rotation transmitting/transition components nearside Rotation of receiver component may include defining that the first nearside of screw thread distal end drives Moving axis.First power/rotation transmitting/transition components distal side force transmitting member may include that can be threaded io the driving of the first nearside The distal drive member of the screw thread distal end of axis.

The first proximate drive shaft and distal drive member of adapter assembly can be aligned axially to each other and be set with operation The standby rotation axis that can rotate drive shaft accordingly is axially aligned.

In use, surgical apparatus with the first power/associated rotation that can rotate drive shaft of rotation transmitting/transition components Turn, can cause the first power/rotation transmitting/transition components first that can rotate the rotation of drive shaft, this leads to adapter assembly The first power/rotation transmitting/transition components distal drive member axial translation.

The power of adapter assembly/rotation transmitting/transition components may include the second power/rotation transmitting/transition components.Second Power/rotation transmitting/transition components nearside Rotation of receiver component may include defining that the second nearside of screw thread distal end drives Moving axis.Second power/rotation transmitting/transition components distal side force transmitting member may include bearing assembly, the bearing assembly tool There is outer ring, the outer ring is threadably attached to the screw thread distal end of the second proximate drive shaft and is non-rotatably arranged in shell In vivo.

The bearing assembly of adapter assembly may include inner ring, and wherein, and the second power/rotation of adapter assembly passes Pass/the distal side force transmitting members of transition components may include Articulating bar, the Articulating bar has proximal end And distal end, proximal end are secured to the inner ring of bearing assembly, distal end is configured to be selectively engaged loading The second of unit is axial can driven in translation component.

First power of adapter assembly/rotation transmitting/transition components at least part can extend through connector group Second power of part/rotation transmitting/transition components bearing assembly.

The Articulating bar of adapter assembly can be revolvable around the first power/rotation transmitting/transition components.

In use, surgical apparatus with the second power/rotation transmitting/transition components of adapter assembly it is associated can rotate The rotation of drive shaft can cause the second power/rotation transmitting/transition components second that can rotate the rotation of drive shaft, this can be with Lead to the second power/rotation transmitting/transition components Articulating bar axial translation.

The power of adapter assembly/rotation transmitting/transition components may include third power/rotation transmitting/transition components.Third Power/rotation transmitting/transition components nearside Rotation of receiver component may include third proximate drive shaft, third proximate drive shaft tool There is the spur gear being supported in its distal end.Third power/rotation transmitting/transition components distal side force transmitting member may include Ring gear, ring gear are fixedly fastened in shell and carry out gear connection with spur gear.

In use, surgical apparatus with third power/associated rotation that can rotate drive shaft of rotation transmitting/transition components Turn, can cause third power/rotation transmitting/transition components third of adapter assembly that can rotate the rotation of drive shaft, this can To lead to the rotation of third power/rotation transmitting/transition components ring gear.

Adapter assembly may further include electric component, be supported at least one of its shell and outer tube. Electric component may include: circuit board；Contact pilotage is electrically connected to circuit board, be configured to and being suitably selected for property be electrically connected to The complementary plug of surgical apparatus；Strain gauge supports on circuit boards and is electrically connected to circuit board, wherein first can revolve Turn proximate drive shaft and extends through strain gauge；And slip ring, around the first power/rotation transmitting/transition components distal side driving Component arrangement, wherein slip ring and circuit board electrical connection, and wherein, slip ring includes being supported on for maintenance and connector The electrical contact of at least one electric component electrical contact in component.

The first proximate drive shaft, the second proximate drive shaft and the third proximate drive shaft of adapter assembly can be arranged each other In common plane.

According to the further scheme of the disclosure, provide adapter assembly, and comprising: shell, be configured to and It is adapted to surgical apparatus and drive shaft operability can be rotated with each of surgical apparatus to be connected to；Outer tube, with proximal end Portion and distal end, proximal end are supported by shell, and distal end is configured to and is suitable for connecting with load units, In, the distal end of outer tube is connected to the axial energy driven in translation component operability of each of load units；Power/rotation transmitting/turns Component is changed, the corresponding one axial energy driven in translation component by a corresponding drive shaft for surgical apparatus and load units is used for Interconnection；And electric component, it is supported in its shell and outer tube.

Electric component includes: circuit board；Contact pilotage is electrically connected to circuit board, be configured to and being suitably selected for property be electrically connected It is connected to the complementary plug of surgical apparatus；Strain gauge supports on circuit boards and is electrically connected to circuit board, wherein first Proximate drive shaft can be rotated and extend through strain gauge；And slip ring, at least around the first power/rotation transmitting/transition components A part arrangement, wherein slip ring and circuit board electrical connection, and wherein, slip ring includes being supported on for maintaining and engaging The electrical contact of at least one electric component electrical contact in device assembly.

Power/rotation transmitting/transition components may include: nearside Rotation of receiver component, can be connected to surgical apparatus Drive shaft can be rotated accordingly；And distal side force transmitting member, can be connected to the axial of load units can driven in translation structure Part, distal side force transmitting member is so that the rotation of nearside Rotation of receiver component is converted into the axial translation of distal side force transmitting member Mode and be connected to nearside Rotation of receiver component.

In use, power/rotation transmitting/transition components can pass the rotation that the first of surgical apparatus can rotate drive shaft It is handed to the first axis energy driven in translation component of load units, and the rotation that the first of surgical apparatus can rotate drive shaft is converted For the axial translation of the first axis energy driven in translation component of load units.

Detailed description of the invention

Example is described implementation of the disclosure herein with reference to attached drawing, in which:

Figure 1A is the perspective view of adapter assembly according to an embodiment of the present disclosure, in illustrative electro-mechanical surgical device It is interconnected between end effector component；

Figure 1B is perspective view, and the proximal end for illustrating adapter assembly is attached to the distal end of electro-mechanical surgical device；

Fig. 2A is the front perspective view of the adapter assembly of the disclosure；

Fig. 2 B is the rear perspective view of the adapter assembly of Fig. 2A；

Fig. 3 is the plan view from above of the adapter assembly of Fig. 2A and 2B；

Fig. 4 is the side view of the adapter assembly of Fig. 2A and 2B；

Fig. 5 is the rear perspective view of the adapter assembly of Fig. 2A and 2B, and wherein its certain part is separated；

Fig. 6 is the rear perspective view of the adapter assembly of Fig. 2A and 2B, and wherein its most of part is separated；

Fig. 7 is the perspective view of the Articulating component of the adapter assembly of Fig. 2A and 2B；

Fig. 8 is the amplification stereogram of the Articulating component of Fig. 7, and wherein part is separated；

Fig. 9 is the perspective view of the Articulating component of Fig. 7, is shown with first orientation；

Figure 10 is the perspective view of the Articulating component of Fig. 7, is shown with second orientation；

Figure 11 is the sectional view intercepted along the hatching 11-11 of Fig. 9；

Figure 12 is the perspective view of the electric component of the adapter assembly of Fig. 2A and 2B；

Figure 13 is the perspective view of the electric component of Figure 12, shows the core of its adapter assembly for being connected to Fig. 2A and 2B Shell；

Figure 14 is the sectional view intercepted along the hatching 14-14 of Figure 13；

Figure 15 is the slip ring casing of the adapter assembly of Fig. 2A and 2B or the perspective view of sleeve；

Figure 16 is the enlarged view in the specified region of the details of Fig. 2 B, illustrates the inner casing of the adapter assembly of Fig. 2A and 2B Body component；

Figure 17 is the rear perspective view of the inner housing component of Figure 16, and wherein the half of outer knob shell section and nearside cap are moved It removes；

Figure 18 is the rear perspective view of the inner housing component of Figure 16, and wherein outer knob shell, nearside cap and sleeve plate are moved It removes；

Figure 19 is the rear perspective view of the inner housing component of Figure 16, wherein outer knob shell, nearside cap, sleeve plate and interior Shell is removed；

Figure 20 is analogous to the rear perspective view of the alternative embodiment of inner housing component shown in Figure 16, wherein outer knob Shell and nearside inner housing are removed；

Figure 21 is the rear perspective view of the inner housing component of Figure 20, wherein outer knob shell, nearside inner housing and articulated type Moving parts are removed；

Figure 22 is the front perspective view of the inner housing component of Figure 20, wherein outer knob shell, nearside inner housing and articulated type Moving parts are removed；

Figure 23 is that the front perspective view of the inner housing component of Figure 20, wherein outer knob shell and nearside inner housing are removed；

Figure 24 is the sectional view intercepted along the hatching 24-24 of Fig. 2 B；

Figure 25 is the enlarged view in the specified region of the details of Figure 24；

Figure 26 is the enlarged view in the specified region of the details of Figure 24, illustrates to activate along proximal direction and locks button；

Figure 27 is the sectional view intercepted along the hatching 27-27 of Fig. 2 B；

Figure 28 is the sectional view intercepted along the hatching 27-27 of Fig. 2 B, illustrates and transports along distal direction actuated articulation formula Dynamic component；

Figure 29 is the sectional view intercepted along the hatching 29-29 of Figure 28；

Figure 30 is the sectional view intercepted along the hatching 30-30 of Figure 28；

Figure 31 is the sectional view intercepted along the hatching 31-31 of Figure 28；

Figure 32 is the rear perspective view according to the nearside inner housing hub of the disclosure；

Figure 33 is the front perspective view of the nearside inner housing hub of Figure 32；

Figure 34 is the front perspective view of the nearside inner housing hub of Figure 32 and 33, illustrate the transmitting of the first and second power/rotation/ Transition components and stiffener assembly associated with it；

Figure 35 is the front perspective view of the plate bushing of the nearside inner housing component of the disclosure；

Figure 36 is the rear perspective view of the plate bushing of Figure 35；

Figure 37 is the rear perspective view of nearside inner housing component, illustrates the plate bushing attachment of Figure 35 and 36 thereon；

Figure 38 is the rear perspective view of the nearside inner housing component of Figure 37, and wherein connector sleeve is removed；

Figure 39 is the rear perspective view of the nearside inner housing component of Figure 37, and wherein connector sleeve is removed and with dotted line Plate bushing is shown；

Figure 40 is the rear perspective view of the nearside inner housing component of Figure 37, and wherein connector sleeve is removed；

Figure 41 is the rear perspective view of the inner housing component of Figure 37, illustrates support according to another embodiment of the present disclosure Plate is attached thereon；

Figure 42 is the rear perspective view of the inner housing component of Figure 41, and wherein support plate is removed；

Figure 43 is the front perspective view of inner housing component according to another embodiment of the present disclosure, wherein outer knob shell, Nearside inner housing is removed；

Figure 44 is the rear perspective view of the inner housing component of Figure 43, wherein outer knob shell, nearside inner housing and articulated type Moving parts are removed；

Figure 45 is the perspective view of the carriage assembly of the inner housing component of Figure 43 and 44；

Figure 46 is the perspective view of the reinforcement sleeve for being used together with Figure 43 with 44 inner housing component；

Figure 47 is the perspective view of the inner housing component of Figure 43 and 44, and the reinforcement sleeve for illustrating Figure 46 is supported on；With And

Figure 48 is the perspective view of the exemplary load units for being used together with surgical apparatus with the connector of the disclosure, Wherein part is separated.

Specific embodiment

Presently disclosed surgical apparatus, adapter assembly is described in detail with reference to the attached drawings, for surgical apparatus and/or handle group The embodiment of the load units detection components of part, wherein appended drawing reference reference similar in each view is identical or corresponding Element.Term " distal side " as employed herein refer to adapter assembly or surgical apparatus further from user part or Its component, and term " nearside " refer to adapter assembly or surgical apparatus closer to the part of user or its component.

In accordance with an embodiment of the present disclosure, surgical apparatus is substantially indicated by 100, and is in the shape of electric hand electromechanical instrument Formula is configured to selectively be attached multiple and different end effectors thereon, and each end effector is configured to by electric hand Hold the actuating of formula electro-mechanical surgical instrument and manipulation.

As shown in Figure 1A, surgical apparatus 100 is configured to be selectively connected adapter assembly 200, and connector Component 200 is configured to be selectively connected load units 300 (for example, end effector, multiple or single use again Load units, see Figure 48).Surgical apparatus 100 and adapter assembly 200 may be constructed Electromechanical surgical system together, the electromechanics Surgery systems be configured to and being suitably selected for property connect load units 300 and activate load units 300.

As shown in Figure 1A and 1B, surgical apparatus 100 include handle housing 102, handle housing 102 include circuit board (not Show), driving mechanism (not shown) is located in handle housing.Circuit board structure is the various operations for controlling surgical apparatus 100.Hand Handle shell 102 defines therein chamber (not shown), and the chamber is rechargeable for selectively, removably receiving wherein Battery (not shown).The battery structure is any electric component for supplying power to surgical apparatus 100.

Handle housing 102 includes: upper case portion 102a, accommodates the various parts of surgical apparatus 100；And lower hand Grip portion 102b extends from upper case portion 102a.Lower hand grip portion 102b can be arranged in upper case portion The distal side of the nearest side of 102a.Selection lower housing section 102b is connected to relative to the position of upper case portion 102a with balancing Or support the weight of the surgical apparatus 100 of adapter assembly 200 and/or end effector 300.

Handle housing 102 provides the shell that driving mechanism is located therein.Driving mechanism be configured to drive each axis and/or Geared parts, to execute the various operations of surgical apparatus 100.In particular, driving mechanism is configured to drive each axis and/or gear part Part, selectively to make proximal body of the tool assembly 304 of load units 300 (see Fig. 1 and 48) relative to load units 300 Part 302 is mobile, rotates load units 300 around longitudinal axis " X " (see Figure 1A) relative to handle housing 102, makes to load single The anvil assembly 306 and nail bin groupware 308 of member 300 are moved relative to each other/approach, and/or the nail bin of transmitting load units 300 Coincideing in component 308 and cutting nail bin.

As shown in Figure 1B, handle housing 102 limits coupling part 108, and coupling part 108 is configured to receive connector group The correspondence driving coupling assembly 210 of part 200.Specifically, the coupling part 108 of surgical apparatus 100 has recess portion 108a, works as engagement Recess portion 108a receives the close of the driving coupling assembly 210 of adapter assembly 200 when device assembly 200 is coupled to surgical apparatus 100 Side cap 210a (Fig. 6).Coupling part 108, which accommodates three, can rotate driven connector 118,120,122, they are arranged in altogether each other In coplanar or in line.

When adapter assembly 200 is coupled to surgical apparatus 100, each of surgical apparatus 100 can rotate driven connector 118,120,122 connection adapter assemblies 200 to should be able to rotary connector sleeve 218,220,222.(see Figure 1B).In the party Face, docking, corresponding second driven connector between corresponding first driven connector 118 and the first connector sleeve 218 120 and second docking between connector sleeve 220 and corresponding third driven connector 122 and third connector sleeve Docking between 222 is all locked, so that the rotation of each driven connector 118,120,122 of surgical apparatus 100 can cause The corresponding rotation of the corresponding connector sleeve 218,220,222 of adapter assembly 200.

The connector sleeve 218 of the driven connector 118,120,122 of surgical apparatus 100 and adapter assembly 200,220, 222 mating allows rotary force each of to dock via three corresponding connectors and independently transmitted.Surgical apparatus 100 Driven connector 118,120,122 is configured to rotate independently by the driving mechanism of surgical apparatus 100.In this aspect, driving The function selecting module (not shown) of mechanism is selected by the drive connection of the motor drive surgical apparatus 100 of surgical apparatus 100 Which of device 118,120,122 or which.

Because of the corresponding connectors of each driven connector 118,120,122 of surgical apparatus 100 and adapter assembly 200 Sleeve 218,220,222 has locking and/or substantially not revolvable docking, so when adapter assembly 200 is attached to hand When art equipment 100, rotary force (one or more) is selectively transferred to connector group from the driven connector of surgical apparatus 100 Part 200.

The selective rotation of the driven connector 118,120 and/or 122 of surgical apparatus 100 allows surgical apparatus 100 to select Activate to selecting property the different function of load units 300.For example, the selectivity of the first driven connector 118 of surgical apparatus 100 And independent rotation corresponds to the selectivity of the tool assembly 304 of load units 300 and independent opening and closure, and The driving of identical/cutting part of tool assembly 304 corresponding to load units 300.As an additional examples, surgical apparatus The selectivity of 100 the second driven connector 120 and independent rotation corresponds to the tool assembly 304 of load units 300 Transverse to longitudinal axis " X " (see Figure 1A) selectivity and independent Articulating.In addition, for example, the of surgical apparatus 100 The selectivity of three driven connectors 122 and independent rotation corresponds to handle of the load units 300 relative to surgical apparatus 100 Shell 102 is around longitudinal axis " X " (see Figure 1A) selectivity and independent rotation.

As shown in Figure 1A, multiple finger-like of various functions of the support of handle housing 102 for activating surgical apparatus 100 are caused Dynamic control button, rocking bar equipment etc..

It can (international publication number be with reference to the International Application Serial No. PCT/US2008/077249 for being filed on September 22nd, 2008 WO2009/039506), and it is filed in the U.S. Patent application in November 20 in 2009, Serial No. 12/622,827, they Entire content is incorporated by reference into herein, and exemplary electromechanical, hand-held, electric operation instrument 100 is described in detail in they Various internal parts and operation.

Turning now to Figure 1A -47, adapter assembly 200 includes outer knob shell 202 and from the distal side of knob shell 202 The outer tube 206 that end is extended.Knob shell 202 and outer tube 206 are configured to and are sized to accommodate adapter assembly 200 Component.Outer tube 206 is sized to be inserted into for endoscope, and especially, outer tube can pass through typical trochar mouth, intubation etc..Rotation Button shell 202 is sized to not sleeve pipe needle mouth, intubation etc..Knob shell 202 is configured to and is adapted to be coupled to perform the operation set The coupling part 108 of standby 100 handle housing 102.

As shown in Figure 48 and as will be described in more detail, adapter assembly 200 is configured to surgical apparatus 100 The rotation of one of driven connector 118 and 120 be converted to axial translation, the axial translation is for operating load units 300 Driving assembly 360 and Articulating connecting rod 366.As shown in Fig. 5,6,13,14,17,18,20,25-34 and 37-40, engagement Device assembly 200 includes nearside inner housing component 204, and first is pivotably supported in nearside inner housing component 204 can rotate closely Side drive shaft 212, second, which can rotate proximate drive shaft 214 and third, can rotate proximate drive shaft 216.Each proximate drive shaft 212,214,216 functions are as Rotation of receiver component to receive rotary force from the respective drive axis of surgical apparatus 100, such as following It will be described in more detail.

As being briefly described above, the inner housing component 210 of shaft assembly 200 is also configured to respectively rotatably support One, second and third connector sleeve 218,220 and 222, the first, second, and third connector sleeve 218,220 and 222 is each other It is arranged in common plane or is in line.As described above, each connector sleeve 218,220,222 is configured to mating operation Corresponding first, second, and third driven connector 118,120,122 of equipment 100.Each connector sleeve 218,220,222 It is further configured for that the proximal end of corresponding first, second, and third proximate drive shaft 212,214,216 is coupled.

As shown in Fig. 6,17,27 and 28, inner housing component 210 further include the first, second, and third biasing member 224, 226 and 228, the first, second, and third biasing member 224,226 and 228 is arranged in corresponding first, second, and third connector The distal side of sleeve 218,220,222.Each biasing member 224,226 and 228 can be rotated around corresponding first, second, and third Proximate drive shaft 212,214 and 216 is arranged.When adapter assembly 200 is connected to surgical apparatus 100, biasing member 224,226 It is acted on corresponding connector sleeve 218,220 and 222 with 228, to help to maintain connector sleeve 218,220 and 222 The distal end engagement that can rotate driven connector 118,120,122 corresponding with surgical apparatus 100.

In particular, the function of the first, second, and third biasing member 224,226 and 228 is corresponding along proximal direction biasing Connector sleeve 218,220 and 222.In this way, during adapter assembly 200 is assembled to surgical apparatus 100, if First, second and/or third connector sleeve 218,220 and/or 222 misalignment surgical apparatus 100 driven connector 118,120,122, then first, second and/or third biasing member 224,226 and/or 228 compressed.Thus, work as operation When equipment 100, the driven connector 118,120,122 of surgical apparatus 100 will rotate, and first, second and/or third biasing Component 224,226 and/or 228 will cause corresponding first, second and/or third connector sleeve 218,220 and/or 222 to Nearside slides back to, so that the driven connector 118,120,122 of surgical apparatus 100 is effectively attached to inner housing component 210 First, second and/or third proximate drive shaft 212,214 and 216.

Adapter assembly 200 includes multiple power/rotation transmitting/transition components, is each arranged in 204 He of inner housing component In outer tube 206.Each power/rotation transmitting/transition components are configured to and are suitable for this rotation speed/power being transferred to loading The front transfer of unit 300/conversion operation instrument 100 first, second, and third can rotate driven connector 118,120 and 122 Rotation speed/power (for example, increase or reduce).

Specifically, as shown in Fig. 6, adapter assembly 200 includes the first, second, and third power/rotation transmitting/conversion group Part 240,250,260, they are arranged in inner housing 208 and outer tube 206.Each power/rotation transmitting/transition components 240, 250,260 be configured to and be suitable for transmit or conversion surgical apparatus 100 the first, second, and third driven connector 118, 120,122 rotation is extremely: the axial translation of the Articulating bar 258 of adapter assembly 200, to realize load units 300 Articulating；The rotation of the ring gear 266 of adapter assembly 200, to realize the rotation of adapter assembly 200；Or it connects The axial translation of the distal drive member 248 of clutch component 200, to realize the closure, opening and transmitting of load units 300.

As shown in Fig. 5,6 and 24-31, the first power/rotation transmitting/transition components 240 can rotate nearside drive including first Moving axis 212, as described above, first can rotate proximate drive shaft 212 and be pivotally supported in inner housing component 204.First energy Rotating proximate drive shaft 212 includes non-circular or special-shaped proximal end, and proximal end is configured to the first connection of connection Device 218, the first connector 218 are connected to corresponding first connector 118 of surgical apparatus 100.First can rotate nearside driving Axis 212 includes the distal end 212b with threaded outer profile or surface.

First power/rotation transmitting/transition components 240 further comprise driving coupling nut 244, drive coupling nut 244 The screw thread distal end 212b of proximate drive shaft 212 can be rotated by being rotatably coupled to first, and it is slidably disposed at In outer tube 206.Driving coupling nut 244 is slideably locked in the nearside core tube portion of outer tube 206 to prevent with first The rotation of proximate drive shaft 212 can be rotated and rotated.In this way, it as first can rotate the rotation of proximate drive shaft 212, drives It moves the screw thread distal end 212b that coupling nut 244 can rotate proximate drive shaft 212 along first and translates, and sequentially pass through And/or it is translated along outer tube 206.

First power/rotation transmitting/transition components 240 further comprise the distal side for being mechanically engaged driving coupling nut 244 Drive member 248, so that the axial movement of driving coupling nut 244 causes the axial of the corresponding amount of distal drive member 248 to be moved It is dynamic.The distal end of distal drive member 248 supports connecting elements 247, and connecting elements 247 is configured to and is sized to be used for It is selectively engaged the drive member 374 (Figure 47) of the driving assembly 360 of load units 300.As being described in more detail below , driving the function of coupling nut 244 and/or distal drive member 248 is that power is transferred to loading as force transmitting member The component of unit 300.

In operation, as the first respective drive connector 118 rotation of surgical apparatus 100 as a result, with the first energy Rotation proximate drive shaft 212 due to the first connector sleeve 218 rotation and rotate, cause to drive coupling nut 244 along the One distal drive shaft, 242 axial translation.With causing to drive coupling nut 244 along 242 axial translation of the first distal drive shaft, Cause distal drive member 248 relative to 206 axial translation of outer tube.With 248 axial translation of distal drive member, in connection structure In the case that part 247 is connected to thereon and engages the drive member 374 (Figure 47) of the driving assembly 360 of load units 300, far Side drive member 248 causes the adjoint property axial translation of the drive member 374 of load units 300 to realize load units 300 Tool assembly 304 closure and tool assembly 304 transmitting.

With reference to Fig. 5-11,19 and 23-31, the second driving converter assembly 250 of adapter assembly 200 includes rotatably The second proximate drive shaft 214 being supported in inner housing component 204.Second can rotate proximate drive shaft 214 include it is non-circular or The proximal end of person's abnormity, the proximal end are configured to connection the second connector or connector 220, the second connector or Person's connector 220 is connected to corresponding second connector 120 of surgical apparatus 100.Second can rotate proximate drive shaft 214 into one Step includes the distal end 214b with threaded outer profile or surface.

The distal end 214b of proximate drive shaft 214 threadingly engages the articulated type fortune of Articulating bearing assembly 252 Dynamic bearing shell 252a.Articulating bearing assembly 252 includes the shell 252a of support Articulating bearing 253, joint Formula motion bearings 253 have the inner ring 253b that can independently rotate relative to outer ring 253a.Articulating bear box 252a tool There is non-circular outer profile (such as tear-drop shaped), slideably and is non-rotatably arranged in the complimentary aperture 204c of inner housing hub 204a Interior (Figure 25,26,29 and 33).

Second driving converter assembly 250 of adapter assembly 200 further comprises Articulating bar 258, articulated type Moving lever 258 has the portions of proximal 258a for the inner ring 253b for being secured to Articulating bearing 253.Articulating bar 258 Distal part 258b wherein include slit 258c, slit 258c is configured to receive the part 366 of load units 300, for example, The Articulating connecting rod (Figure 47) of label.As will be described in more detail, the function of Articulating bar 258 is as power Power is transferred to the component of load units 300 by transmission member.

Further consider Articulating bearing assembly 252, Articulating bearing assembly 252 be both it is revolvable and What longitudinal direction can translate.Furthermore, it is envisioned that when the jaw members 306,308 of load units 300 are in approximated position and/ Or when jaw members 306,308 Articulating, Articulating bearing assembly 252 allows load units 300 freely, no Interrupted moving in rotation.

In operation, as the second driven connector 120 rotation of surgical apparatus 100 as a result, as the second nearside drives Moving axis 214 due to the second connector sleeve 220 rotation and rotate, cause Articulating bearing assembly 252 close along second The screw thread distal end 214b axial translation of side drive shaft 214, this causes Articulating bar 258 relative to 206 axis of outer tube again To translation.With 258 axial translation of Articulating bar, it is attached to the joint of the Articulating connecting rod 366 of load units 300 Formula moving lever 258 causes the adjoint property axial translation of the Articulating connecting rod 366 of load units 300, thus implementation tool group The Articulating of part 304.Articulating bar 258 is secured to the inner ring 253b and thus phase of Articulating bearing 253 The outer ring 253a of Articulating bearing 253 is rotated freely around longitudinal axis X-X.

As shown in Fig. 6,17,18,20-23,25-28,31 and 37-40 and above-mentioned, adapter assembly 200 wraps Include the third power/rotation transmitting/transition components 260 being supported in inner housing component 204.Third power/rotation transmitting/transition components 260 include the rotary annular gear 266 for being fixedly fastened on and being connected to outer knob shell 202.Ring gear 266 defines The internal arrangement (Fig. 6) of gear teeth 266a.Ring gear 266 includes from its outer edge diametrically opposite radial direction of a pair outstanding Extend protrusion 266b (Fig. 6).Protrusion 266b is arranged in the recess portion being defined in outer knob shell 202, so that ring gear 266 Rotation lead to the rotation of outer knob shell 202, vice versa.

Third power/rotation transmitting/transition components 260 further comprise that third can rotate proximate drive shaft 216, institute as above It states, is pivotally supported in inner housing component 204.It includes non-circular or special-shaped that third, which can rotate proximate drive shaft 216, Proximal end, which is configured to connection third connector 222, and third connector 222 is connected to surgical apparatus 100 corresponding third connector 122.It includes the spur gear for being locked in its distal end that third, which can rotate proximate drive shaft 216, 216a.Third can be rotated the spur gear 216a of proximate drive shaft 216 and the gear teeth of ring gear 266 by commutation spur gear 264 266a is interconnected.

In operation, as the rotation of third driven connector 122 of surgical apparatus 100 as a result, as third can rotate Proximate drive shaft 216 due to third connector sleeve 222 rotation and rotate, third can rotate the commutating tooth of proximate drive shaft 216 It takes turns 216a and engages tumbler gear 264, so as to cause the rotation of tumbler gear 264.As tumbler gear 264 rotates, ring gear 266 Also it rotates, so as to cause the rotation of outer knob shell 202.As outer knob shell 202 rotates, cause outer tube 206 around connector The longitudinal axis " X " of component 200 rotates.As outer tube 206 rotates, also cause the distal end for being connected to adapter assembly 200 Load units 300 around adapter assembly 200 longitudinal axis rotate.

As shown in Figure 1B, 3-5,16,17,20 and 24-26, adapter assembly 200 further comprise be supported on it is attached Connect/release button 272.Specifically, button 272 is supported in the driving coupling assembly 210 of adapter assembly 200 and by inclined It sets component 274 and is biased to unactuated state.Button 272 includes antelabium formed therewith perhaps flange 272a antelabium or flange 272a be configured to hasp live below corresponding antelabium perhaps flange 108b antelabium or flange 108b along surgical apparatus 100 The recess portion 108a of coupling part 108 is limited.In use, when adapter assembly 200 is connected to surgical apparatus 100, button 272 The coupling part 108 that is arranged in surgical apparatus 100 antelabium 272a antelabium 108b behind so that adapter assembly 200 and operation Equipment 100 is consolidated and is kept each other.In order to allow adapter assembly 200 and surgical apparatus 100 to be disconnected from each other connection, biasing is overcome The biasing of component 274 and press or activate button 272 so that button 272 antelabium 272a be detached from surgical apparatus 100 connection The antelabium 108b of part 108.

With reference to Figure 1A, 2A, 2B, 3-5 and 24-26, adapter assembly 200 further comprises for fixing distal drive member 248 axial position and the locking device 280 of radial orientation.Locking device 280 includes being slidably supported at outer knob shell Button 282 on 202.It locks button 282 and is connected to the actuating lever 284 extended longitudinally through outer tube 206.Actuating lever 284 is being locked It is mobile when firmly button 282 is mobile.When latching button 282 moves predetermined amount, the distal end of actuating lever 284 can be moved into Fastening device (lock out) (not shown) is contacted, this causes fastening device that cam member 288 (Figure 24) is made to do cam movement and leave The recess portion 249 of distal drive member 248.When 288 coupling recess 249 of cam member (for example, at least partly in recess portion 249 It is interior, see Fig. 6 and 24), the engagement between cam member 288 and distal drive member 248 has effectively been lockked to be connect with connecting elements 247 The position axially and in rotation of the end effector 300 of conjunction.

In operation, in order to lock the position and/or orientation of distal drive member 248, user will lock up button 282 from remote Side position is moved to proximal position (Figure 25 and 26), so as to cause fastening device (not shown) it is mobile to nearside so that fastening device it is remote Side is mobile without contacting cam member 288, this causes cam member 288 to do cam movement and enter distal drive member 248 Recess portion 249.In this way, it prevents distal drive member 248 distad and/or nearside is mobile.When will lock up button 282 from When proximal position is moved to distal position, the distal end of actuating lever 284 overcomes the biasing of biasing member (not shown) distad It is moved to fastening device, to force cam member 288 to leave recess portion 249, to allow the uncrossed axis of distal drive member 248 To translating and move radially.

It can be entire interior with reference to the U.S. Patent application for being filed on May 2nd, 2013, Serial No. 13/875,571 Appearance is incorporated by reference into herein, for discussing construction and the operation of locking device 280 in more detail.

With reference to Figure 1B, 6,12-15 and 25-28, adapter assembly 200 includes being supported on outer knob shell 202 and inner housing On component 204 and electric component therein 290.Electric component 290 includes multiple electric contact pilotages being supported on circuit board 294 292, the correspondence plug 190 for being electrically connected in the coupling part 108 for being arranged in surgical apparatus 100.Electrical contact 290 is used for Allow to carry out the calibration and communication of life cycle information, plug 190 via the circuit board of plug 190 and surgical apparatus 100 It is electrically connected to the circuit board (not shown) of surgical apparatus 100.

Electric component 290 further comprises the strain gauge 296 for being electrically connected to circuit board 294.Strain gauge 296 is provided with recess 296a, recess 296a are configured to and are suitable for receiving the bar portion 204d of the hub 204a of inner housing component 204.The bar portion of hub 204a The function of 204d is the moving in rotation of restraint strain meter 296.As shown in Figure 25-28, first can rotate proximate drive shaft 212 Extend through strain gauge 296.Strain gauge 296 can rotate transmitting/clamp load offer that proximate drive shaft 212 is presented to by first Closed loop feedback.

Electric component 290 further includes the slip ring 298 being arranged in the core tube of pipe 206.294 electricity of slip ring 298 and circuit board Connection.The function of slip ring 298 is the axial direction for allowing the first rotation that can rotate proximate drive shaft 212 and driving coupling nut 244 Translation, while the electrical contact at least another electric component for still maintaining it to be in electrical contact in ring 298a and adapter assembly 200, together When also allow other electric components around first can rotate proximate drive shaft 212 and driving coupling nut 244 rotate.

Electric component 290 may include slip ring casing or sleeve 299, be located in the core tube of pipe 206 with protect and/ Or any line that protection is extended from slip ring 298.

Turning now to Fig. 6,11,14,32 and 33, inner housing component 204 rotates designed in drive shaft 214 with axial direction Reduced when translating Articulating bearing assembly 252 second proximate drive shaft 214 warp oblique (racking) the occurrence of.It is interior Housing unit 204 includes hub 204a, and hub 204a has the annular wall 204b of distal side orientation, which defines roughly circular outer Profile, and hub 204a defines substantially tear-drop shaped inner fovea part or hole 204c.The hole 204c of hub 204a is shaped and is sized to Slideably received within Articulating bearing assembly 252 in it.

Inner housing component 204 includes ring flat-plate 254a (Figure 34), and ring flat-plate 254a is secured to the annular of the distal side orientation of hub 204a The distal face of wall 204b.Plate 254a defines that the aperture 254e through it, aperture 254e are sized to and are formed as wherein To be directed at the second proximate drive shaft 214 and rotatably to receive the distal end 214c of the second proximate drive shaft 214.With this Kind mode, as the second proximate drive shaft 214 is rotated to axial translation Articulating bearing assembly 252, the second nearside is driven The distal end 214c of moving axis 214 is supported and is prevented from moving radially and leaving longitudinal rotation of the second proximate drive shaft 214 Shaft axis.

As shown in Figure 14,32,39 and 40, hub 204a is limited from its structural member 204d (for example, bar portion etc.) outstanding, knot The function of component 204d be engageable electrical component 290 strain gauge 296 recess 296a with measure surgical apparatus 100 operate when by The power that axis 212 is subjected to.

With reference to Figure 35-40, the plate bushing 230 of inner housing component 204 has shown and described.Plate bushing 230 extends across The hub 204a of inner housing component 204, and hub 204a is secured to by fastening member.Plate bushing 230 defines three apertures 230a, 230b, 230c, they are directed at corresponding first, second, and third proximate drive shaft 212,214,216 and wherein may be used Rotatably receive corresponding first, second, and third proximate drive shaft 212,214,216.Plate bushing 230 is provided with surface, the One, second and third biasing member 224,226 and 228 contact or against the surface.

As shown in Fig. 6 and 37-40, although plate bushing 230 has been used as single single piece to be shown and has described, It is contemplated that and within the scope of the application, plate bushing 230 is segmented into several parts, sees Figure 40-42, including but not Be limited to: support plate 230 ' extends across drive shaft 212,214,216；And the list for each drive shaft 212,214,216 Only bushing is arranged between support plate 230 ' and the hub 204a of inner housing component 204.Support plate 230 ' may include being formed in it On a pair of of slit 230a ', 230b ', they be configured to and be suitable for receiving strain gauge 296 from its axially projecting protrusion 296b。

Turning now to Figure 43-47, show and by description inner housing component 204 ' according to another embodiment of the present disclosure. In order to be warped in the rotation of drive shaft 214 with reducing by the second proximate drive shaft 214 when axial translation Articulating bearing assembly 252 Tiltedly the occurrence of (that is, the distal end 214b of the second proximate drive shaft 214 is moved radially and left its longitudinal rotating shaft line), Inner housing component 204 ' may include reinforced frame or carriage assembly 254 '.Carriage assembly 254 ' include the first plate 254a ' and Second plate 254b ', the second plate 254b ' be integrally attached to the first plate 254a ' and with the first plate 254a ' by it is multiple therebetween The connecting rod 254c ' of extension and it is spaced a distance.

First plate 254a ' is arranged proximate to or against ring gear 266, and defines the aperture 254d ' through it. Aperture 254d ' is sized to and is formed in the first plate 254a ' the second proximate drive shaft 214 of alignment and allows the Two proximate drive shafts 214 freely rotate in it.Second plate 254b ' and the first plate 254a ' are spaced apart to be arranged in second At the free distal end of proximate drive shaft 214.Second plate 254b ' defines the aperture 254e ' through it.Aperture 254e ' is fixed Having a size of and being formed to alignment the second proximate drive shaft 214 and rotatably in the second plate or flange 254b ' Receive the distal end 214c of the second proximate drive shaft 214.

In this way, when the second proximate drive shaft 214 is rotated with axial translation Articulating bearing assembly 252, The distal end 214c of second proximate drive shaft 214 is supported and is prevented from moving radially and leaving the second proximate drive shaft 214 longitudinal rotating shaft line.

As shown in Figure 38,46 and 47, inner housing component 204 ' may include the reinforcement for surrounding the arrangement of carriage assembly 254 ' Sleeve 255 ' is to further strengthen carriage assembly 254 '.In one embodiment it is contemplated that reinforce sleeve 255 ' can be between Between the first plate 254a ' and the second plate 254b ' of carriage assembly 254 '.It is further envisaged that reinforcing sleeve 255 ' can be situated between Between the second plate 254b ' and the distal side directed face of nearside inner housing component 204 '.

According to the disclosure, compared to the slave surgical apparatus 100 developed to 300 transmitting of load units/conversion power/rotation Existing adapter assembly, the overall length of adapter assembly 200 is reduced.By the totality for reducing adapter assembly 200 Length, the hand compared to the center of gravity of surgical apparatus 100, existing adapter assembly and load units 300 after assembling, after assembling The center of gravity of art equipment 100, adapter assembly 200 and load units 300 is moved to nearside.In this way, increasing terminal Comfort level of user when using the Electromechanical surgical system of the disclosure is horizontal, and reduces Fatigued level.

In operation, when user activates the button of surgical apparatus 100, software checks predefined condition.If met Condition, then software control motor and conveying machinery drive the function to the operation anastomat of attachment, according to the button pressed Can, operation anastomat is then able to opening, closure, rotation, Articulating or transmitting.Software leads to also in a manner of defined It crosses and turns on or off lampion to provide feedback to user, to indicate surgical apparatus 100, adapter assembly 200 and/or load The state of unit 300.

Can with reference to be filed in August in 2009 31, the entitled " tool assembly (TOOL for surgical stapling equipment ASSEMBLY FOR A SURGICAL STAPLING DEVICE) " U.S. Patent Publication 2009/0314821, for detailed Construction and the operation of load units 300 are discussed, 8 diagram as Figures 1 and 4.

Any part described herein can be prepared by metal, plastics, resin, composite material etc., it is also necessary to consider intensity, Durability, wear resistance, weight, corrosion resistance, easily fabricated, manufacturing cost etc..

It should be understood that various modifications can be made to the embodiment of adapter assembly disclosed by the invention.Therefore, above The description property of should not be regarded as limiting, and only as the example of embodiment.Those skilled in the art will occur at this Other modifications in scope of disclosure and spirit.

Claims

1. a kind of Electromechanical surgical system is configured to be selectively connected operation load units to activate the operation loading list Member executes at least one function, and the load units include multiple axial drive members that can be translated, the surgery systems packet It includes:

Hand-held electro-mechanical surgical device, comprising:

Shell；And

It is multiple to rotate drive shaft, it is supported in the shell and prominent from the shell；And

Adapter assembly can be selectively connected between the shell of the surgical apparatus and the load units, described Adapter assembly includes:

Shell is configured to and is adapted to the surgical apparatus and can rotate the every of drive shaft with the multiple of surgical apparatus It is a to rotate the connection of drive shaft operability；And

Three power/rotation transmitting/transition components, each power/rotation transmitting in three power/rotation transmitting/transition components/ Transition components are configured to multiple corresponding one for capable of rotating in drive shaft of the surgical apparatus and the load units A corresponding interconnection in multiple axial drive members that can be translated, wherein in three power/rotation transmitting/transition components Each power/rotation transmitting/transition components include nearside Rotation of receiver component, the multiple of the surgical apparatus can be connected to Corresponding one in drive shaft can be rotated, each nearside Rotation of receiver component is arranged to straight line, which defines along cross The axis extended to the direction of the longitudinal axis in adapter assembly, wherein in three power/rotation transmitting/transition components Each power/rotation transmitting/transition components by the multiple corresponding one rotation that can rotate drive shaft of the surgical apparatus Turn corresponding one of the multiple axial drive member that can be translated for being transferred to the load units, and by the surgical apparatus The multiple corresponding one for capable of rotating drive shaft be converted to the multiple of the load units and axial can translate Drive member corresponding one axial translation.

2. Electromechanical surgical system according to claim 1, wherein every in three power/rotation transmitting/transition components A power/rotation transmitting/transition components include distal side force transmitting member, can be connected to multiple axial energy of the load units Corresponding one in the drive member of translation, each distal side force transmitting member is respectively connected to each nearside rotation and connects Component is received, thus the rotation of the nearside Rotation of receiver component is converted into the axial translation of the distal side force transmitting member.

3. Electromechanical surgical system according to claim 2, wherein three power of the adapter assembly/rotation passes Pass/transition components include the first power/rotation transmitting/transition components；Wherein, first power/rotation transmitting/transition components are close Side Rotation of receiver component includes defining the first proximate drive shaft of screw thread distal end；And wherein, first power/rotation Transmitting/transition components distal side force transmitting member includes the screw thread distal end that can be threaded io first proximate drive shaft Distal drive member.

4. Electromechanical surgical system according to claim 3, wherein the first proximate drive shaft of the adapter assembly and remote Side drive member is aligned axially to each other and corresponding with the surgical apparatus rotation axis that can rotate drive shaft is axially right It is quasi-.

5. Electromechanical surgical system according to claim 3, wherein the surgical apparatus it is multiple can rotate drive shaft with First power/rotation transmitting/transition components associated corresponding one can rotate the rotation of drive shaft, cause first power/ The rotation of the first proximate drive shaft of transmitting/transition components is rotated, this causes the first power/rotation of the adapter assembly to pass Pass/the axial translation of the distal drive members of transition components.

6. Electromechanical surgical system according to claim 3, wherein three power of the adapter assembly/rotation passes Pass/transition components include the second power/rotation transmitting/transition components；Wherein, second power/rotation transmitting/transition components are close Side Rotation of receiver component includes defining the second proximate drive shaft of screw thread distal end；And wherein, second power/rotation Transmitting/transition components distal side force transmitting member includes bearing assembly, and the bearing assembly has outer ring, and the outer ring can screw thread Ground is connected to the screw thread distal end of second proximate drive shaft and is non-rotatably arranged in the adapter assembly In shell.

7. Electromechanical surgical system according to claim 6, wherein the bearing assembly of the adapter assembly includes interior Circle, and wherein, second power/rotation transmitting/transition components distal side force transmitting member of the adapter assembly includes Articulating bar, the Articulating bar have proximal end and distal end, and proximal end is secured to the bearing The inner ring of component, distal end are configured to be selectively engaged the second axial driving structure that can be translated of the load units Part.

8. Electromechanical surgical system according to claim 6, wherein the first power of the adapter assembly ,/rotation transmitting/turns Changing at least part of component, to extend through second power of the adapter assembly/rotation transmitting/transition components described Bearing assembly.

9. Electromechanical surgical system according to claim 7, wherein the Articulating bar of the adapter assembly is It can be around first power/rotation transmitting/transition components rotation.

10. Electromechanical surgical system according to claim 6, wherein the multiple of the surgical apparatus can rotate drive shaft The rotation that drive shaft can be rotated to the second power of the adapter assembly/rotation transmitting/transition components associated corresponding one, leads The rotation of second power/rotation transmitting/transition components second proximate drive shaft is caused, this leads to second power/rotation Turn the axial translation of transmitting/transition components Articulating bar.

11. Electromechanical surgical system according to claim 10, wherein three power/rotations of the adapter assembly Transmitting/transition components include third power/rotation transmitting/transition components；Wherein, the third power/rotation transmitting/transition components Nearside Rotation of receiver component includes third proximate drive shaft, and the third proximate drive shaft, which has, to be supported in its distal end Spur gear；And wherein, the third power/rotation transmitting/transition components distal side force transmitting member includes being fixedly fastened on The ring gear of gear connection is carried out in the shell of the adapter assembly and with the spur gear.

12. Electromechanical surgical system according to claim 11, wherein the multiple of the surgical apparatus can rotate drive shaft The rotation that drive shaft can be rotated to the third power/rotation transmitting/transition components associated corresponding one, leads to the connector The rotation of the third power of component/rotation transmitting/transition components third proximate drive shaft, this leads to the third power/rotation Turn the rotation of transmitting/transition components ring gear.